IPAC RHTE# 0'J X5,4 Harnett County Department of Public Health 2 5 2 7 3
Improvement Permit
A building permit cannot be issued with only an Improvement Per~it
/ PROPERTY LOCATION- S/Z
ISSUED T0: , Lid Z~~~l,rf ; L SUBDIVISION cv~ LOT # 13
NEW REPAIR ❑ , EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ID qFx 11a
Proposed Wastewater System Type: cZS v czJ~sc ti ~ r
Projected Daily Flow: 6__ GIRD
Number of bedrooms: 17 Number of Occupants: max
Basement ❑Yes C~`No
Pump Required: ❑Yes 1?rNo ❑ be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MaPublic ❑ Well Distance from well feet Permit valid for. El -Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3 aff9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout /
ISSUED T0: a--C PROPERTY LOCATIO : f-,C
SUBDIVISION _ _5- 7-~d LOT # 12
Facility Type: '5 ?D Vr 'X .4,0 [flew ❑ Expansion ❑ Repair
Basement? ❑ Yes PrIo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ari k4-410,_6 /,-s-It (Initial) Wastewater Flow: 3 6 4 GPD
(See note below, if applicable
a?S. -ea-4- 1J_V_r -1' (Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size UUO O gallons Exact length of each trench a ~U feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. /8-A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Condifons:
Trench Spacing: Feet on Center
Soil Cover: -~y inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
Inches total
~u so 7 /fk
30 fl
**If applicable: / understand the system type roeci6ed it different from the type fpeclAed on the application. / accept the specifications of thif permit
Owner/Legal Representative Signature: Date:
nmouneduwi a -1- m ievucduuu It we she Pion, plat, or me imenuea use changes. me construction authorization snan not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this Permit SEE ATTACHED SITE SKETCH
Authorized State Agen • Date: C Aga
Construction Authorization Expiration Date: °l
HTE# `I- =a17Y~ 9 AC Permit # o7Z 5-d- -2 ~7
Harnett County Department of Y'nblic Health
Site sketch
P / PROPERTY LOCATON: ~5-X111 ^,,4j led
ISSUED T0: SUBDIVISION d ~d LOT # 13
Authorized State Agen - w~ Date:
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